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Published on: January 12, 2019
Attached gingiva: histology and surgical augmentation.
1University of Maryland Dental School, Baltimore, MD, USA.
General Dentistry
|November 12, 2009
Summary
Increasing attached gingiva enhances periodontal health and resistance to injury. Surgical procedures effectively augment attached gingiva, halting recession and improving long-term outcomes.
Area of Science:
- Periodontology
- Periodontal Plastic Surgery
Background:
- Keratinized attached gingiva protects the periodontium from injury and stabilizes the gingival margin.
- Augmenting attached gingiva is crucial for patients with compromised plaque control.
Observation:
- Apically positioned flap, free gingival graft, and subepithelial connective tissue graft are primary surgical methods for increasing attached gingiva.
- These procedures offer predictable and effective augmentation of the attached gingiva zone.
Findings:
- Newly acquired keratinized gingiva demonstrates long-term stability.
- Periodontal plastic surgery halts gingival recession progression.
- Creeping attachment can lead to further gains in keratinized tissue post-surgery.
Implications:
- Surgical augmentation of attached gingiva improves periodontal health and resistance to external factors.
- These techniques are vital for managing compromised plaque control and preventing gingival recession.
- Periodontal plastic surgery offers predictable and sustainable solutions for enhancing gingival tissues.
